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Research Library · Independent literature review

Plastic & reconstructive: Does VR surgical planning reduce operating time?

10 Plastic & reconstructive studies in the library address this question.

Plastic & reconstructive: Operating timeBar chart. Plastic & reconstructive: Operating time. Randomized trials 1, Comparative or prospective studies 1, Reviews 4, Case reports & technical 4.RESEARCH LIBRARY · INDEPENDENT LITERATURE REVIEWPlastic & reconstructive: Operatingtime10 studies in the library, by study designRandomized trials1Comparative or prospecti…1Reviews4Case reports & technical4Positive findingMixedDescriptiveNo significant differenceRealize Medical Research Library · 631 studies · updated 2026-10-03

Where time gains were reported

  • Positive finding
    “Flap harvest times averaged 52 and 68 min, respectively (P < 0.0001).”

    Liu 2025 · Randomized controlled trial · n: 80 patients

  • Positive finding
    “The MRI analysis time was significantly lower with the DIVA system than with the slice-based visualization for residents, practitioners, and subsequently the entire group (P < .001).”

    El Beheiry 2021 · Comparative study

  • Positive finding
    “XR use decreased operative time, with AR reducing intraoperative perforator localization time from 20 min using handheld Doppler US to 2.3 min.”

    Zijlstra 2026 · Systematic review

  • Positive finding
    “Preoperative VR was associated with shorter operative times than conventional Doppler ultrasound (478±56.94 vs 606.29 ± 81.94 min, P<0.05).”

    Lacey 2025 · Systematic review

How strong is the evidence?

Of 10 studies with a finding on this question: 8 report a positive finding, 2 descriptive. These reflect what each study's authors report.

Study designs: 1 randomized trial, 1 comparative or prospective study, 4 reviews and 4 case reports, case series and technical reports.

Randomized trials: 1 trial on this question; 1 reported a positive finding.

All 10 studies

Comparison between mixed reality with artificial algorithms and ultrasound in localization of anterior thigh flap perforators: a prospective randomized controlled study #

Liu Y et al. · BMC Medicine · 2025

Plastic & reconstructive · Randomized controlled trial · n: 80 patients

Positive finding
“Flap harvest times averaged 52 and 68 min, respectively (P < 0.0001).”

P < 0.0001

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Breast Magnetic Resonance Image Analysis for Surgeons Using Virtual Reality: A Comparative Study #

El Beheiry M et al. · JCO clinical cancer informatics · 2021

Plastic & reconstructive · Comparative study

Positive finding
“The MRI analysis time was significantly lower with the DIVA system than with the slice-based visualization for residents, practitioners, and subsequently the entire group (P < .001).”

P < .001

DOIPubMed

Extended reality for perforator visualization in deep inferior epigastric perforator autologous breast reconstruction: A systematic review #

Zijlstra K et al. · JPRAS open · 2026

Plastic & reconstructive · Systematic review

Positive finding
“XR use decreased operative time, with AR reducing intraoperative perforator localization time from 20 min using handheld Doppler US to 2.3 min.”

2.3 min

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Extended reality for mapping perforator-based flaps in breast reconstruction: a systematic review and meta-analysis #

Lacey H et al. · JPRAS open · 2025

Plastic & reconstructive · Systematic review

Positive finding
“Preoperative VR was associated with shorter operative times than conventional Doppler ultrasound (478±56.94 vs 606.29 ± 81.94 min, P<0.05).”

P<0.05

DOIPubMedFree full text

The use of extended reality in microsurgical free flap planning - A systematic review #

Rasmussen KH et al. · JPRAS open · 2025

Plastic & reconstructive · Systematic review

Positive finding
“Virtual reality demonstrated better visualization of patient-specific anatomy and was more time efficient than CT angiography.”

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Virtual and augmented reality for preoperative planning in plastic surgical procedures: A systematic review #

Vles MD et al. · Journal of plastic, reconstructive & aesthetic surgery · 2020

Plastic & reconstructive · Systematic review

Positive finding
“Harvesting time (p < 0.012) and operative time (p < 0.01) in DIEP-flap procedures and mandibular angle osteotomies, respectively, were significantly reduced if AR was used.”

p < 0.012

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AI-Enhanced 3D Models in Global Virtual Reality Case Conferences for Surgical Care in a Low-Income Country: Exploratory Study #

Obst M et al. · JMIR formative research · 2025

Plastic & reconstructive · Feasibility study · n: 15 patients

Positive finding
“The process was time-efficient, with a total of under 8 minutes per case for data acquisition and model creation, and resource-efficient with surgeons reporting sufficient quality of smartphone-derived models.”

8 minutes

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BREAST+: An augmented reality interface that speeds up perforator marking for DIEAP flap reconstruction surgery #

Timóteo R et al. · Healthcare technology letters · 2024

Plastic & reconstructive · Technical development

Positive finding
“The average time taken to mark each perforator is 7.7 ± 6.5 s, with an average absolute error of 6.8 ± 2.6 mm and an estimated average deviation of 3.6 ± 1.4 mm.”

7.7 ± 6.5 s

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Workflow assessment of an augmented reality application for planning of perforator flaps in plastic reconstructive surgery: Game or game changer? #

Berger MF et al. · Digital health · 2023

Plastic & reconstructive · Feasibility study

Descriptive
“The presented setup involved human interaction (no automation, no application programming interface used for data exchange among collaborators) in four different locations with a net workload of 173 min until clinical readiness on the AR system, and the evaluation considers therefore a pre-automation/implementation scenario.”

173 min

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Augmented reality mastectomy surgical planning prototype using the HoloLens template for healthcare technology letters #

Amini S, Kersten-Oertel M · Healthcare technology letters · 2019

Plastic & reconstructive · Technical development

Descriptive
“This method can be quicker than the traditional way and eliminates sizer implants from the process.”

DOIPubMedFree full text

All plastic & reconstructive studiesThis question across specialtiesBrowse the whole library

Summarises published research on VR/AR surgical planning across all platforms. Not product labelling. For Elucis indications see /elucis.

Intended for healthcare professionals.

Summaries and quotes describe each study's methods and the findings its authors report. They are not claims by Realize Medical and may contain errors: please read the original paper. Inclusion is not an endorsement of any product or use.